| NPI | 1902338940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN ALEXIS JAIME Owner 973-572-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-06-14 |